﻿@model DICOM_PROJECT.Models.IndicationCreateModel

<div id="createIndicationForm" class="form">
    <div class="form-content">
        <div class="row form-heading">
            <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
                <h3 class="form-heading-title">New Indication</h3>
            </div>
        </div>
        <div class="row form-body">
            <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
                <div id="createIndicationVM">
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.PatientID)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.PatientID, new { @class = "form-control", @data_bind = "value: PatientID, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.PatientName)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.PatientName, new { @class = "form-control", @data_bind = "value: PatientName, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">@Html.LabelFor(model => model.IndicationInformation)</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">@Html.TextAreaFor(model => model.IndicationInformation, new { @class = "form-control", @data_bind = "value: IndicationInformation" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6 button-left">
                            <div id="create-indication-save" class="btn btn-primary">Save</div>
                        </div>
                        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6 button-right">
                            <div id="create-indication-cancel" class="btn btn-default">Cancel</div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
